UT-TEX, INC (NPI# 1063552305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063552305 |
Entity Type | Organization |
Organization Name | UT-TEX, INC |
Other Organization Name | VISTA ADOLESCENT TREATMENT CENTER |
Practice Address |
8265 W 2700 S Magna UT 84044-1323 |
Practice Telephone | 8014466312 |
Practice Fax Number | 8014467746 |
Mailing Telephone | 8014466312 |
Mailing Fax Number | 8014467746 |
Enumeration Date | 2007-02-07 |
Last Update Date | 2015-12-18 |
Authorized Official Name | H MATTHEW DIXON JR. (OWNER) |
Authorized Official Telephone | 8014466312 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 323P00000X | Psychiatric Residential Treatment Facility | 12385 | UT | Residential Treatment Facilities |
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 12385 | UT | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Vista Adolescent Treatment Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184089013 | Ut-tex, Inc | Psychiatric Residential Treatment Facility | 3149 E 9800 S, Sandy, UT 84092-4213 | 2015-12-18 |
Street Address |
8265 W 2700 S |
City | MAGNA |
State | UT |
Zip Code | 84044-1323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780210559 | Kyle Peterson | Social Worker | 8265 W 2700 S, Magna, UT 84044-1323 | 2020-03-12 |
1639722192 | Natalie Marie Montanez | Counselor | 8265 W 2700 S, Magna, UT 84044-1323 | 2019-07-23 |
1699204123 | Scott David Hove | Social Worker | 8265 W 2700 S, Magna, UT 84044-1323 | 2017-06-08 |
1720445877 | Kenneth Scaggs | Counselor | 8265 W 2700 S, Magna, UT 84044-1323 | 2016-01-20 |
1023438116 | Amy Thomas | Social Worker | 8265 W 2700 S, Magna, UT 84044-1323 | 2014-04-16 |
1275970543 | Kristin Adams | Social Worker | 8265 W 2700 S, Magna, UT 84044-1323 | 2013-05-28 |
1487990552 | Tracy Hove | Social Worker | 8265 W 2700 S, Magna, UT 84044-1323 | 2012-12-18 |
1700157062 | Steven Michael Sawyer | Social Worker | 8265 W 2700 S, Magna, UT 84044-1323 | 2012-01-18 |
1497034201 | Victor Tua'one | Residential Treatment Facility, Emotionally Disturbed Children | 8265 W 2700 S, Magna, UT 84044-1323 | 2011-08-10 |
1831494830 | Haylee Hudgens | Counselor | 8265 W 2700 S, Magna, UT 84044-1323 | 2011-01-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376073965 | Danielle Lauren Tanner | Social Worker | 8265 W. 2700 South, Magna, UT 84044 | 2017-06-15 |
1316485774 | Alina Crawford | Specialist | 9115 W Magna Main St, Magna, UT 84044 | 2017-02-06 |
1437469756 | Ashley Christine Prescott | Counselor | 2711 S 8500 W, Magna, UT 84044 | 2010-10-20 |
1548578511 | Valerie D Liggett | Social Worker | 2700 South 8537 West, Magna, UT 84044 | 2010-09-23 |
1265642334 | Tab Bingham | Dentist | 8370 W 3500 S, Magna, UT 84044 | 2007-05-23 |
1962437251 | Catherine Luverne Baxter | Nurse Practitioner | 840 W 3665 S, Magna, UT 84044 | 2006-07-12 |
1710918586 | Marliese Lovelei Lloyd | Physician Assistant | 8211 W 3500 So, Magna, UT 84044 | 2006-07-06 |
1093771446 | Kristine Holly Frost | Physician Assistant | 8211 West 3500 South, Magna, UT 84044 | 2006-04-25 |
1124175161 | Marilyn Marie Chan | Nurse Practitioner | 8925 South 2700 West, West Jordan, UT 84044 | 2007-01-04 |
1922163401 | Kevin Macfarlane | Physician Assistant | 8211 West 3500 South, Magna, UT 84044 | 2006-12-26 |
Find all providers in zip 84044 |
Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497034201 | Victor Tua'one | Residential Treatment Facility, Emotionally Disturbed Children | 8265 W 2700 S, Magna, UT 84044-1323 | 2011-08-10 |
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1083107320 | Red Circle Lodge, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 930 N Memorial St, Hildale, UT 84784 | 2018-06-12 |
1023560679 | Meridian Mentoring | Residential Treatment Facility, Emotionally Disturbed Children | 635 South Main St., Orangeville, UT 84537 | 2016-10-31 |
1720456981 | Gateway Academy, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 941 E Cattail Dr, Draper, UT 84020-8583 | 2015-09-04 |
1033592290 | Keystone Family Support, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2558 Valley View Dr, Layton, UT 84040-7654 | 2015-07-07 |
1285033977 | Utah Family Care LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3575 S 3200 W Apt 6c, West Valley City, UT 84119-3571 | 2014-08-19 |
1982011649 | Teen Discovery Home | Residential Treatment Facility, Emotionally Disturbed Children | 10 East 100 South, Gunnison, UT 84634 | 2014-07-15 |
1245663947 | South Pointe Youth | Residential Treatment Facility, Emotionally Disturbed Children | 1500 South 580 West, Manti, UT 84642-0314 | 2013-08-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.